Individual provider Active NPI

Justin Michael Mauzy, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1164061388
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070029286 Issued in IL
Practice address
24 E Chicago Ave
Chicago, IL 60611-2009
Phone
(312) 951-9700
Fax
(312) 951-6989
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2305213280 VA
Physical Therapist 225100000X PTL80993 MA
Physical Medicine & Rehabilitation Physician 208100000X P20965 NC
Physical Therapist 225100000X 070029286 IL Primary
Physical Medicine & Rehabilitation Physician 208100000X CP028099T DC
Physical Medicine & Rehabilitation Physician 208100000X CP025408T MD

Addresses

Primary practice location

24 E Chicago Ave
Chicago, IL 60611-2009

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220908003072 VA Practitioner - Physical Therapist in Private Practice 3870977937 Reassigns benefits to 1 organization
I20221019000010 DC Practitioner - Physical Therapist in Private Practice 3870977937 Reassigns benefits to 3 organizations
I20250624000168 MA Practitioner - Physical Therapist in Private Practice 3870977937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians
Joint Ventures Physical Therapy IncGroup PAC ID 2163474560, 62 clinicians
Optimal Motion LLCGroup PAC ID 4789910654, 6 clinicians

Practice addresses (Care Compare)

24 E Chicago Ave
Chicago, IL 60611-2009
Phone (312) 951-9700

31 Andrew Ave
Wayland, MA 01778-3026
Phone (617) 536-1161

950 Herndon Pkwy
Suite 425
Herndon, VA 20170-5537
Phone (703) 665-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP028099TDCMDPhysical Medicine & Rehabilitation Physician
CP025408TMDMDPhysical Medicine & Rehabilitation Physician
P20965NCMDPhysical Medicine & Rehabilitation Physician
070029286ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Physical Therapy Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Joint Ventures Physical Therapy, Inc. Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Joint Ventures Physical Therapy, Inc. Physical Medicine & Rehabilitation CurrentSince Jun 16, 2025 Accepting new patients
Optimal Motion LLC Physical Therapist CurrentSince Feb 17, 2026 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

31 Andrew Ave
Wayland, MA 01778
Phone (508) 358-3410

6410 Rockledge Dr
Ste 301
Bethesda, MD 20817
Phone (301) 520-3455

4 Richmond Sq
Providence, RI 02906
Phone (401) 885-2821

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

950 Herndon Pkwy
Ste 425
Herndon, VA 20170
Phone (703) 249-9192

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1164061388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112009",
            "telephone_number": "312-951-9700",
            "fax_number": "312-951-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUZY",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305213280",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL80993",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P20965",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070029286",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DC",
            "license": "CP028099T",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "CP025408T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.